Quick Answer
Both CNS offices assess movement disorders and handle device programming. Both are in the Las Vegas valley: 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147 and 1691 W. Horizon Ridge Parkway, Suite 100, Henderson NV 89012.
Part ofThis guide sits beneath parkinson's disease and tremor, which covers the study itself, how it is performed and what the report should contain.
our Parkinson's Disease and Tremor hub →Key Takeaways
- Both offices assess movement disorders and handle device programming.
- Programming and follow-up continue for years, so the shorter journey compounds.
- Neither tremor disorder is diagnosed by a scan, so the appointment is examination rather than imaging.
- Rehabilitation therapies are coordinated externally rather than delivered here.
- Adults 18 and older, at both addresses on the locations page.
Parkinson's disease
Parkinson's disease is a progressive disorder of the brain's movement-control circuits, caused by loss of dopamine-producing cells. It is diagnosed clinically from slowness of movement combined with rest tremor or rigidity.
Which clinician manages this
Movement disorders sit with neurology, but several parts of care sit elsewhere and knowing which prevents misdirected appointments.
Where neurology sits
Diagnosis, which is clinical rather than radiological and is the step everything else depends on. Medication management including the timing adjustments that dominate later care. Botulinum toxin for focal dystonia. And programming and follow-up of an implanted stimulator.
Where it is not neurology
Surgery, including deep brain stimulation implantation, which happens at a surgical centre because this practice performs no surgery. Physical, occupational and speech therapy, which are coordinated externally and which matter substantially in movement disorders rather than being optional extras. And a first presentation with sudden focal symptoms, which is an emergency rather than a movement disorder assessment.
Where primary care sits
A reasonable first stop, and it handles the reversible contributors worth excluding: thyroid overactivity, which produces tremor, and a medication review, since drug-induced tremor is common and reversible. Where a plan requires a referral before specialist cover, that originates there.
What speeds it up
Describing the symptom rather than requesting a specialty, since the practice routes by clinical question. And noting when the tremor appears rather than how severe it is, because that is the discriminating detail.
| Also considered | How it is distinguished |
|---|---|
| Essential tremor | Tremor appears with action and posture rather than at rest, is often symmetric, and frequently runs in families. |
| Drug-induced parkinsonism | Follows exposure to dopamine-blocking medication and is usually symmetric; a medication review comes first. |
| Atypical parkinsonian syndromes | Early falls, prominent autonomic change or poor levodopa response point away from typical Parkinson's. |
| Dystonic tremor | Accompanied by abnormal posturing of the affected part. |
The assessment
01
What brings people in
A new tremor, slowness, changed handwriting or gait, or an existing diagnosis that needs review.
02
What the evaluation settles
When the tremor appears — at rest, with posture, or with action — which syndrome the examination fits, and whether medication or another cause is contributing.
03
What you leave with
A clinical diagnosis where the examination supports one, a treatment discussion, and a follow-up interval to confirm the diagnosis over time.
No scan diagnoses this
Parkinson’s disease is diagnosed clinically, by history and examination, and essential tremor likewise. Imaging is used to exclude other causes rather than to confirm either, so a normal scan does not mean a normal examination. Patients frequently expect a definitive test and there is not one, which is worth knowing in advance rather than experiencing as a disappointment.
What to bring
A complete medication list including anything bought without a prescription, because medication-induced tremor is common and reversible. A note of when the tremor appears rather than how bad it is. Whether anyone in the family has a tremor. And where available, a phone video of the tremor at rest and during a task, which is genuinely useful because tremor varies and an office visit samples a moment.
What treatment addresses
For essential tremor, medication where the tremor interferes with function rather than because it exists, and expectations set honestly: treatment reduces amplitude rather than abolishing tremor. For Parkinson’s disease, dopaminergic medication with attention to timing, since the pattern of benefit across a day drives adjustment. Botulinum toxin has a role in some dystonic presentations. Deep brain stimulation is implanted surgically elsewhere; programming and follow-up happen here.
What is not provided
No surgery, so deep brain stimulation implantation is referred. No infusion suite. No inpatient care. Rehabilitation therapies including physiotherapy and speech therapy are coordinated rather than delivered here, and they matter substantially in movement disorders.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Noticed a tremor or a change in movement?
Note when it appears rather than how bad it is, and bring your full medication list.
The Bottom Line
Neurology diagnoses and manages medication and devices. Surgery and rehabilitation therapies sit elsewhere and both matter.
Frequently Asked Questions
What separates essential tremor from Parkinson’s?
When the tremor appears. A tremor present when the hand rests still and easing when the hand reaches for something points toward Parkinson’s. A tremor absent at rest but appearing when holding a cup or writing points toward essential tremor. Head or voice tremor also points toward essential tremor, while a tremor confined to one hand for months points the other way.
Which is more common?
Essential tremor, by a considerable margin. Most people presenting with a new tremor do not have Parkinson’s disease, which is worth knowing early because the fear is usually the reason someone came. Essential tremor also tends to run in families and to have been present, more mildly, for years before it prompted a visit.
Is there a scan that diagnoses Parkinson’s?
No. It is diagnosed clinically by history and examination, and essential tremor likewise. Imaging is used to exclude other causes rather than to confirm either, so a normal scan does not mean a normal examination. A specialised scan exists that can help separate the two in genuinely unclear cases, but it is not used routinely and it does not replace the examination.
Can medication cause tremor?
Yes, commonly, and it is reversible. Some asthma inhalers, antidepressants and lithium among others. That is why a complete medication list including over-the-counter products matters at the first appointment. Thyroid medication, some anti-nausea drugs and caffeine intake are worth reporting too, and reducing a culprit is frequently the first thing tried.
Should I bring a video?
If you can, yes. Tremor varies through a day and an office visit samples a moment. A short video showing the hand at rest and then during a task is genuinely useful. Film in good light with the hands visible, first resting in the lap and then reaching for or holding an object.
Does treatment stop the tremor?
It reduces amplitude rather than abolishing it, and that expectation is worth setting honestly. For essential tremor, treatment is offered where the tremor interferes with function rather than simply because it exists. For Parkinson’s, medication frequently improves slowness and stiffness more reliably than it improves tremor, which is worth knowing before starting.
Is deep brain stimulation done here?
No. The practice performs no surgery, so implantation happens at a surgical centre. Programming and long-term follow-up of an implanted device are provided here. Candidacy is assessed here first, and the years of programming and medication adjustment that follow are handled here too. That ongoing work, rather than the operation itself, is what determines how well a device performs.
Is rehabilitation part of this?
Yes, and it matters substantially rather than being an optional extra. Physical, occupational and speech therapy are coordinated externally rather than delivered here. Referrals are made here and progress is interpreted against the diagnosis, so the course is directed rather than generic. Starting earlier tends to be more useful than waiting until function is clearly affected.
Will medication be started at the first appointment?
Sometimes, and sometimes deliberately not. Where the examination is clear, treatment can begin; where the diagnosis needs time to confirm, waiting is the better clinical decision rather than a delay. Any tremor-causing medication you already take is reviewed first, because that is reversible and easily missed. Bring the bottles rather than a list written from memory.
Is exercise actually worth doing?
Yes, and it is the one intervention with reasonable evidence for a benefit beyond symptom control. It is recommended alongside medication rather than instead of it. Physical, occupational and speech therapy are coordinated with outside providers, and starting earlier tends to be more useful than waiting until function is clearly affected.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: that no surgery of any kind is performed, that implanted devices are programmed and followed up at both offices, that botulinum toxin is administered for clinical indications and no cosmetic injections are performed, and that rehabilitation therapies are coordinated rather than delivered on site. Clinical context is sourced to the organisations listed below.
No named medications, doses, stimulation parameters or response rates appear, because selection and adjustment are clinical decisions specific to the individual. Prevalence is described comparatively rather than numerically. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “What doctor treats parkinson's disease.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/parkinsons-tremor/what-doctor-treats-parkinsons-disease/
References
- Parkinson's Foundation — patient information and care standards for Parkinson’s disease.
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
- American Academy of Neurology — clinical practice guidance.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.